Quality Improvement Manager

Intermountain Centers•Tucson, AZ

About The Position

The Quality Improvement Manager provides daily support and guidance to the Quality Improvement Team under the direction of the Director of QI & Compliance. The role ensures reporting deliverables are met, the medical records system is maintained, and quality improvement strategies are implemented across the organization. The manager supervises and oversees the Department’s QI Specialists and Medical Records staff. The position oversees systems and processes for meeting organizational contract deliverables, maintains knowledge of funder, contract, regulatory, and accreditation reporting requirements, and educates staff about those requirements. It monitors the reliability and accuracy of reporting systems and ensures reports meet contract obligations or applicable business-function expectations. The manager applies quality management, data analytics, and performance measurement tools, maintains process design documents, and coordinates with internal and external staff. The role analyzes data and recommends improvements, develops efficiencies to support process improvement and quality outcomes, advises staff on applicable healthcare rules, and supports audits and corrective action plans. It also provides consultation and training, ensures adverse events are reported as required, and works with staff to implement, measure, and document quality improvement strategies. The manager oversees daily medical records operations and compliance with state and federal requirements for protected and personally identifiable information, maintains current knowledge of applicable privacy and security laws, and assesses technology and efficiency improvements. A bachelor’s degree or higher in a related field, at least four years of relevant experience, and at least one year in a team lead or supervisory role are specified. Regulatory qualifications may apply, including age, fingerprint clearance, certifications, driver’s license and vehicle documentation, and TB testing.

Requirements

Bachelor’s degree or higher in a related healthcare field, data analytics, quality improvement, public health, or a related field.
At least 4 years of experience working in healthcare, data analytics, and/or quality improvement.
At least 1 year in a team lead or supervisory capacity.
Minimum age of 21 years.
DPS Level I fingerprint clearance if required; must be obtained upon hire and maintained throughout employment.
CPR, First Aid, and AED certification if required; must be held upon hire and maintained throughout employment.
Current, valid Arizona Driver’s License, 39-month Motor Vehicle Report, and proof of vehicle registration and liability insurance to meet insurance requirements, if required.
Initial current negative TB test result if required; provided by the employer.

Responsibilities

Develop and oversee systems and processes for meeting organizational contract deliverable requirements.
Maintain knowledge of funder, contract, regulatory, and accreditation quality reporting requirements, and educate and update staff on those requirements.
Monitor reporting systems to ensure they are reliable and accurate.
Ensure reports are prepared in accordance with contract obligations or the requirements of the relevant business function.
Apply current quality management, data analytics, and performance measurement tools to departmental work and efficiency.
Develop and maintain process design documents for reporting deliverables.
Coordinate with internal and external staff to meet contract deliverable requirements.
Provide written data analysis, identify trends, and recommend actions for reporting requirements and quality performance measures.
Develop efficiencies supporting process improvement and quality outcomes for the department and organization, as applicable.
Serve as a subject matter expert to programs and departmental staff on applicable health plan, AHCCCS, DCS, DDD, and other state or federal healthcare rules.
Coordinate and support internal and external healthcare audits for programs.
Collaborate with programs and sites on the development, submission, and monitoring of corrective action plans.
Provide consultation and training to sites and NEO, and as requested.
Ensure adverse events are reported according to requirements and work with sites to prevent recurrence.
Work with internal and external staff to ensure quality improvement strategies are implemented, measured, and documented.
Manage daily medical records operations and ensure adherence to state and federal regulations related to PHI and PII.
Maintain current understanding of HIPAA, privacy, security, 42 CFR, and other applicable laws.
Assess technology improvements and efficiency strategies on an ongoing basis.
Supervise and oversee the Department’s QI Specialists and Medical Records staff.